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2007-09-12_REVISION - C1981038
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2007-09-12_REVISION - C1981038
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Entry Properties
Last modified
8/24/2016 3:17:56 PM
Creation date
1/20/2009 2:42:04 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981038
IBM Index Class Name
REVISION
Doc Date
9/12/2007
Doc Name
Insurance Certification
From
J.E. Stover & Associates, Inc
To
DRMS
Type & Sequence
RN5
Media Type
D
Archive
No
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7 <br />9/06107 <br />............ <br />R <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Wells Fargo Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />of WV, Ino. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />41 Eagles Road COMPANIES AFFORDING COVERAGE <br />Beckley WV 25801 COMPANY <br />(304) 252-6375 A NatI Union Fire Ins Co Pgh PA Recrive <br />(ED <br />COMPANY VED <br />Bowie Resources, LLC B <br />1500 Big Run Road COMPANY 2 ?407 <br />Ashland, KY 41102 C r1h <br />COMPANY Via" Of Rec a <br />D Afning and a t-, <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED,NOTWITHSTANDINGANYRE:QUIREMENT,TERM ORCONDITIONOFANYCONTRACTOR OTHER DOCUMENTWITH RESPECTT OWHICHTHIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />CO TYPE OF INSURANCE POLICYNUMBER POLICYEFFECTIVE POLICY EXPIRATION <br />LTR DATE (MMIDDIYY)_ _ DATE.(MMIODIYY) . LIMITS - - - <br />A GENERAL LIABILITY 6454602 5131107 5/31/08 GENERAL AGGREGATE $ 2,000,000 <br />X COMMERCIAL.GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 1,000,000 <br />CLAIMS MADE FX? OCCUR PERSONAL & ADV INJURY $ 1,000,000 <br />OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000 <br />X Blasting FIRE DAMAGE (Any one fire) $ 11000,000 <br />MED EXP (Any one person) $ 10,000 <br />I AUTOMOBILE LIABILITY <br />COMBINED SINGLE LIMIT $ <br /> ANY AUTO <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) $ <br /> HIRED AUTOS BODILY INJURY <br />$ <br /> NON-OWNED AUTOS (Per accident). <br />PROPERTY DAMAGE Is <br /> GARAGE LIABILITY AUTO ONLY • EA ACCIDENT . $ <br /> ANY AUTO OTHER THAN AUTO ONLY. <br /> EACH ACCIDENT $ <br /> AGGREGATE $ <br /> EXCESS LIABILITY EACH OCCURRENCE $ <br /> UMBRELLA FORM AGGREGATE $ <br /> OTHER THAN UMBRELLA FORM $ <br /> WORKERS COMPENSATION AND <br />EMPLOYERS' LIABILrri WOCR STA M? S 0TH- <br />- <br /> EL EACH ACCIDENT S <br /> THE PROPRIETOR/ <br />PARTNERS/EXECUTIVE INCL EL DISEASE-POLICY LIMIT $ <br /> OFFICERS ARE EXCL EL DISEASE-EA EMPLOYEE $ <br /> OTHER <br />wi.cmaru,w?ncma As respects Bowie #2 Mine Permit #C-81-038. General Liability <br />Policy provides protection for use of explosives. Ten days cancellation notice for non-payment of premium. <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />State of Colorado EXPIRATION DATE THEREOF, THE ISSUING COMPANY X <br />Division of Reclamation 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, <br />Mining and Safety M)CCHG4iQl(Mlfl(XCO(XNpCKXIOWYXK)yBy(YX>61?(d[1ipGltXXi6(X?Xy1(!N(kCKMIO(OfNXd(X <br />1313 Sherman Street, Room 215 OXXX9QXXX)MXX)UMXXRXCEXX4(D(XWAKKd(XXA(XXVMM)(g(RX <br />Denver, CO 80203 AUTHORIZED REPRESENTATIVE <br />WELLS FARGOINSURANCE SERVICE&0&0.-IPCtlook, AAI, CPIW <br />CERTIFICATE: 0101001/ OD046
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